Individual
MRS. JULIE DIANE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5500 PINE LAKE RD, LINCOLN, NE 68516-3389
(402) 489-8888
Mailing address
PO BOX 8577, OMAHA, NE 68108
(402) 397-7057
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110989
NE
363L00000X
Nurse Practitioner
H-120818
IA
Other
Enumeration date
10/22/2008
Last updated
04/23/2024
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